Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Chad Alan Clark, MSPT

Individual provider Physical Therapist · NPI 1083617906

Mr. Chad Alan Clark, MSPT is a Physical Therapist in Private Practice in Pueblo, Colorado. Qualified in 1996, 30 years ago. Practices with Physical Therapy Connections, PC, a 3-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
30
Licensed in
CO
In the registry since
2005

Practice location Address checks out

58 Glenroyal Dr
Pueblo, CO 81005-2174
Phone: (719) 565-6678
Fax: (719) 561-0577
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5835 (CO)

Record details

NPI number1083617906
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedMay 24, 2005
Last updated in NPPESSeptember 1, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Physical Therapy Connections, Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pueblo